Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
36 Cards in this Set
- Front
- Back
|
Types of procedures assigned to professional nurses |
Sterile or invasive procedures |
|
|
4 elements necessary to prove negligence |
Duty (obligation to use due care; failure to care or protect others against unreasonable risk), breach of duty (failure to perform according to established standard of conduct in providing nursing care) causation (connect btwn conduct and resulting injury), and injury/damages |
|
|
Intentional tort |
Conduct causing damage to another person in a willful or intentional way without just cause (ex. Hitting a client out of anger; not in manner of self-protection) |
|
|
5 activities person who is declared incompetent cannot perform |
Vote, make contracts/wills, drive a car, sue or be sued, hold professional license |
|
|
The Good Samaritan Act |
Law that protects the nurse who provides care or gives aid in an emergency situation |
|
|
Nursing care of a restrained client |
Apply restraints properly, check restraints frequently to see that they aren't causing injury and record such monitoring, remove restraints asap, use restraints only as a last resort |
|
|
Five rights of delegation |
Right task, right circumstance, right person, right direction/communication, and right supervision |
|
|
3 levels of disaster management |
Disaster preparedness, disaster response, disaster recovery |
|
|
Levels of prevention in disaster management and examples of each |
Primary: develop plan, train/educate personnel and public. |
|
|
Define triage |
To sort or categorize |
|
|
Bioterrorism agents |
Anthrax, pneumonic plague, botulism, smallpox, inhalation tularemia, viral hemorrhagic fever, ricin, sarin, radiation |
|
|
What PO2 value indicates respiratory failure in adults? |
Below 60 mmHg |
|
|
Metabolic alkalosis |
High pH, normal pCO2, high HCO3 |
|
|
What does the PR interval represent? |
Time required for the impulse to travel from atria through AV node |
|
|
How is a client positioned in immediate postoperative period and why? |
Usually on the side or with head to side to prevent aspiration of any emesis |
|
|
Nursing actions to prevent postoperative wound dehiscence and evisceration |
Splinting when coughing, encouraging coughing and deep breathing in early postop period when sutures are strong, monitoring for signs of infection, malnutrition, dehydration, encouraging high-protein diet |
|
|
Nursing interventions to prevent postop urinary tract infections |
Avoiding postop catheterization, increasing oral fluid intake, emptying bladder q4-6 hours, early ambulation |
|
|
Nursing interventions that prevent postop paralytic ileus |
Early ambulation, limiting use of narcotics, NG tube compression |
|
|
Nursing interventions that prevent postop thrombophlebitis |
In-bed leg exercises, early ambulation, applying antiembolus stockings, teaching avoidance of positions or pressures that may obstruct blood flow |
|
|
Blood value that indicates hypercapnia? |
Above 45 mmHg |
|
|
Hypoxemia |
PO2 is less than 50 mmHg and Fio2 is greater than 60% |
|
|
Arterial blood gases normals: pH, PCO2, HCO3, PO2, O2 saturation, O2 content-arterial/venous, base excess |
pH: 7.35-7.45 PCO2: 35-45 mmHg HCO3: 21-28 mEq/L PO2: 80-100 mmHg O2 saturation: 95-100% O2 content: arterial=15-22 vol%, venous=11-16 vol% Base excess: 0+_ 2mEq/L |
|
|
Isotonic solutions |
Normal saline Lacerated ringers (LR) 5% dextrose in water (D5W) - on low end of isotonic)
Indicated for intravascular dehydration |
|
|
Hypotonic solutions |
0.5% normal saline (HNS or 0.45% normal saline) 2.5% dextrose in 0.45% saline (D2.5 45% NS)
Used in management of the patient who is both volume-depleted and hyperosmolar (ex. Hypernatremia or hyperglycemia) |
|
|
Hypertonic solutions |
5% dextrose is LR (D5LR) 5% dextrose in 0.45% saline 5% dextrose in 0.9 % saline (D5NS) 10% dextrose in water (D10W)
Used for intravascular dehydration with interstitial or cellular overhydration |
|
|
Respiratory acidosis |
Low pH, high pCO2, normal HCO3 |
|
|
Respiratory alkalosis |
High pH, low pCO2, normal HCO3 |
|
|
Metabolic acidosis |
Low pH, normal pCO2, low HCO3 |
|
|
Apraxia |
Inability to perform purposeful movements in the absence of motor problems |
|
|
Dysarthria |
Difficulty articulating |
|
|
Dysphasia |
Impairment of speech and verbal comprehension |
|
|
Aphasia |
Loss of the ability to speak |
|
|
Agraphia |
Loss of the ability to write |
|
|
Alexia |
Loss of the ability to read |
|
|
Dysphagia |
Dysfunctional swallowing |
|
|
Maslow's hierarchy of needs |
1. Physiological 2. Safety 3. Love/belonging 4. Esteem 5. Self-actualization |
